Luke A Mcmahon (NPI# 1013200179, PAC ID# 5193016970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1013200179 |
| PAC ID by PECOS | 5193016970 |
| Professional Enrollment ID | I20160627000314 |
| Full Name | Luke A Mcmahon |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA |
| Address |
7770 Dell Rd Suite 100 Chanhassen MN 55317-9316 |
| Phone Number | 9529750605 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY |
| Graduation Year | 2011 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 2961489844 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 | 9529750605 | ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Pearson | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Nick R Spanel | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Bradley Marc Sundick | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| James J Omlie | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 250 Central Ave N, Suite 126, Wayzata, MN 55391-1293 |
| Eric F Stich | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Kyle D Tidstrom | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Frederick J Haas | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 6350 W 143rd St, Suite 206, Savage, MN 55378-2890 |
| Brett J Kurtzman | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 250 Central Ave N, Suite 126, Wayzata, MN 55391-1293 |
| Timothy J Neuner | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 6350 W 143rd St, Suite 206, Savage, MN 55378-2890 |
| Nawaf Aslam-pervez | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Street Address |
7770 DELL RD SUITE 100 |
| City | CHANHASSEN |
| State | MN |
| Zip | 55317-9316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Pearson | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Nick R Spanel | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Roy R Moeller | Podiatry | Roy R. Moeller D.p.m. P.a. | 7770 Dell Rd, Suite 140, Chanhassen, MN 55317-9316 |
| Bradley Marc Sundick | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Eric F Stich | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Kyle D Tidstrom | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Nawaf Aslam-pervez | Maxillofacial Surgery | Oral and Maxillofacial Surgical Consultants Pa | 7770 Dell Rd, Suite 100, Chanhassen, MN 55317-9316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Fatu Agada | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Josephat M Mutahi | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Jamie J Anderson | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4241 Johnny Cake Ridge, Eagan, MN 55317 |
| Julie R Stender | Clinical Social Worker | Starfish Services LLC | 600 W 78th St, Suite 220a, Chanhassen, MN 55317-2600 |
| Patricia M Ahrens | Clinical Social Worker | 600 W 78th St, Suite 210, Chanhassen, MN 55317-2600 | |
| Sara M Nuahn | Clinical Social Worker | Starfish Services LLC | 600 W 78th St, Suite 220a, Chanhassen, MN 55317-2600 |
| Ian P Mccann | Chiropractic | 2675 W 78th St, Chanhassen, MN 55317-4502 | |
| Timothy M Oneil | Chiropractic | 2675 W 78th St, Chanhassen, MN 55317-4502 | |
| Sean Daniel Neubauer | Chiropractic | Sd Neubauer Family Health and Wellness Pllc | 470 W 78th St, Suite 100, Chanhassen, MN 55317-4525 |
| Michael J Kennedy | Chiropractic | 470 W 78th St, Suite 120, Chanhassen, MN 55317-4525 | |
| Find all physicians in zip 55317 | |||
| City | CHANHASSEN |
| Zip Code | 55317 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | CHANHASSEN + MAXILLOFACIAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.